Lupus Nephritis

Umxholo

• Ziintoni iimpawu zelupus nephritis?
• Ukuchonga i-lupus nephritis
• Uvavanyo lwegazi
• Ukuqokelela umchamo iiyure ezingama-24
• Uvavanyo lomchamo
• Uvavanyo lokususwa kwe-Iothalamate
• Isifo sezintso
• Amanqanaba e-lupus nephritis
• Ukhetho kunyango lwe-lupus nephritis
• Iingxaki zelupus nephritis
• Umbono wexesha elide kubantu abane-lupus nephritis

Yintoni ilupus nephritis?

Inkqubo ye-lupus erythematosus (SLE) ibizwa ngokuba yi-lupus. Yimeko apho amajoni akho omzimba aqala ukuhlasela iindawo ezahlukeneyo zomzimba wakho.

I-Lupus nephritis yenye yezona ngxaki zinkulu ze-lupus. Kwenzeka xa i-SLE ibangela ukuba amajoni akho omzimba ahlasele izintso zakho - ngakumbi iinxalenye zezintso zakho ezihluza igazi lakho kwiimveliso zenkunkuma.

Ziintoni iimpawu zelupus nephritis?

Iimpawu zeLupus nephritis ziyafana nezo zezinye izifo zezintso. Ziquka:

• umchamo omnyama
• igazi kumchamo wakho
• umchamo wegwebu
• ukuchama rhoqo, ngakumbi ebusuku
• ukukhukhumala ezinyaweni, emaqatheni nasemilenzeni eziba mandundu ekuhambeni kwemini
• ukufumana ubunzima
• igazi elonyukayo

Ukuchonga i-lupus nephritis

Olunye lweempawu zokuqala ze-lupus nephritis ligazi kumchamo wakho okanye umchamo we-foamy kakhulu.Uxinzelelo lwegazi oluphezulu kunye nokudumba ezinyaweni zakho nako kunokubonisa i-lupus nephritis. Uvavanyo oluza kunceda ugqirha wakho ukuba enze uxilongo lubandakanya oku kulandelayo:

Uvavanyo lwegazi

Ugqirha wakho uya kujonga amanqanaba aphezulu emveliso yenkunkuma, enje nge-creatinine kunye ne-urea. Ngokwesiqhelo, izintso ziyazicoca ezi mveliso.

Ukuqokelela umchamo iiyure ezingama-24

Olu vavanyo lulinganisa amandla izintso ngokukhetha ukucoca inkunkuma. Inquma ukuba zingakanani iiprotheyini ezivela kumchamo ngaphezulu kweeyure ezingama-24.

Uvavanyo lomchamo

Iimvavanyo zomchamo zilinganisa ukusebenza kwezintso. Bachonga amanqanaba:

• protein
• iiseli ezibomvu zegazi
• iiseli ezimhlophe zegazi

Uvavanyo lokususwa kwe-Iothalamate

Olu vavanyo lusebenzisa idayi eyahlukileyo ukubona ukuba izintso zakho zihluza ngokufanelekileyo.

Iothalamate eqhumayo inegazi. Ugqirha wakho uya kuthi emva koko avavanye ukuba ikhutshwa ngokukhawuleza kangakanani kumchamo wakho. Banokuvavanya ngokuthe ngqo ukuba lishiya igazi lakho ngokukhawuleza kangakanani na. Oku kuthathwa njengolona vavanyo luchanekileyo lwesantya sokuhluza izintso.

Isifo sezintso

Ii-Biopsies zezona zichanekileyo kunye neyona ndlela ingenayo yokufumanisa isifo sezintso. Ugqirha wakho uya kufaka inaliti ende esiswini sakho kunye nezintso zakho. Baya kuthatha isampuli yezicubu zezintso ukuba zihlolwe kwiimpawu zomonakalo.

Amanqanaba e-lupus nephritis

Emva kokuxilongwa, ugqirha wakho uya kugqiba ubunzima bomonakalo wakho wezintso.

Umbutho wezeMpilo weHlabathi (World Health Organisation) (WHO) wavelisa inkqubo yokuhlela amanqanaba amahlanu ahlukeneyo e-lupus nephritis ngo-1964. Ukwahlulahlulahlula kwasusa iklasi yoqobo yokuqala eyayingenabungqina besifo kwaye yongeza iklasi yesithandathu:

• Iklasi I: Ubuncinci be-mesangial lupus nephritis
• Iklasi II: I-mesangial proliferative lupus nephritis
• Iklasi yesithathu: I-lupus nephritis ye-Focal (esebenzayo nengapheliyo, eyandayo kunye ne-sclerosing)
• Iklasi IV: Ukusasaza i-lupus nephritis (esebenzayo nengapheliyo, eyandayo kunye ne-sclerosing, yecandelo kunye nehlabathi)
• Iklasi V: Imembranous lupus nephritis
• Iklasi VI: Advanced sclerosis lupus nephritis

Ukhetho kunyango lwe-lupus nephritis

Akukho lonyango lwe-lupus nephritis. Injongo yonyango kukugcina ingxaki ingabi mandundu. Ukuyeka ukonakala kwezintso kwangoko kunokuthintela isidingo sokufakelwa kwezintso.

Unyango lunokubonelela ngoncedo kwiimpawu ze-lupus.

Unyango oluqhelekileyo lubandakanya:

• ukunciphisa ukutya kwakho iiprotein kunye netyuwa
• ukuthatha amayeza oxinzelelo lwegazi
• ukusebenzisa ii-steroids ezinje nge-prednisone (iRayos) ukunciphisa ukudumba kunye nokudumba
• uthatha amayeza ukucinezela amajoni akho omzimba njenge-cyclophosphamide okanye i-mycophenolate-mofetil (CellCept)

Kuthathelwa ingqalelo ekhethekileyo abantwana okanye abasetyhini abakhulelweyo.

Umonakalo omkhulu wezintso unokufuna unyango olongezelelekileyo.

Iingxaki zelupus nephritis

Eyona ngxaki inkulu enxulunyaniswa ne-lupus nephritis kukusilela kwezintso. Abantu abanokungaphumeleli kwezintso baya kufuna i-dialysis okanye ukufakelwa kwezintso.

I-Dialysis idla ngokuba lukhetho lokuqala kunyango, kodwa ayizukusebenza ngokungenammiselo. Uninzi lwezigulo zediski ekugqibeleni ziya kufuna ukufakelwa. Nangona kunjalo, kunokuthatha iinyanga okanye iminyaka ngaphambi kokuba lifumaneke ilungu lomnikeli.

Umbono wexesha elide kubantu abane-lupus nephritis

Imbonakalo yabantu abane lupus nephritis iyahluka. Uninzi lwabantu lubona kuphela iimpawu eziphakathi. Umonakalo wabo wezintso unokuqatshelwa kuphela ngexesha lovavanyo lomchamo.

Ukuba uneempawu ezinzima ze-nephritis, usemngciphekweni owandayo wokuphulukana nomsebenzi wezintso. Unyango lunokusetyenziselwa ukunciphisa ikhosi ye-nephritis, kodwa ayisoloko iphumelela. Thetha nogqirha wakho malunga nokuba loluphi unyango olulungele wena.